Nickolas C Southwick, CRNA in Plymouth, MN - Medicare Certified Registered Nurse Anesthetist (crna)

Nickolas C Southwick, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Plymouth, Minnesota. He graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Nura Pllc, Anesthesia Associates, Pllc, University Anesthesia Providers Llc and his current practice location is 14700 28th Ave N Ste 20, Plymouth, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 559-3779.

Nickolas C Southwick is licensed to practice in Minnesota (license number 2342009) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023617362.

Contact Information

	Nickolas C Southwick, CRNA
	14700 28th Ave N Ste 20, Plymouth, MN 55447-4876
	(763) 559-3779
	(763) 450-3986

Map and Direction

Provider's Profile

Full Name	Nickolas C Southwick
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	5 Years
Location	14700 28th Ave N Ste 20, Plymouth, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nickolas C Southwick graduated from nursing school in 2020

NPI Data:

NPI Number: 1023617362
Provider Enumeration Date: 10/19/2020
Last Update Date: 11/10/2023

Medicare PECOS Information:

PECOS PAC ID: 5395155113
Enrollment ID: I20201106001324

Medical Identifiers

Medical identifiers for Nickolas C Southwick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023617362	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	2342009 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Healtheast St John's Hospital	Maplewood, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nura Pllc	2769378942	32
Anesthesia Associates, Pllc	4284879701	9
University Anesthesia Providers Llc	7315986064	314

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nickolas C Southwick allows following entities to bill medicare on his behalf.

Entity Name	Metropolitan Anesthesia Network Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579

Entity Name	Nura Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750316014 PECOS PAC ID: 2769378942 Enrollment ID: O20040322000281

Entity Name	University Anesthesia Providers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699711143 PECOS PAC ID: 7315986064 Enrollment ID: O20050502000881

Entity Name	Anesthesia Associates, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104176205 PECOS PAC ID: 4284879701 Enrollment ID: O20130403000426

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nickolas C Southwick is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nickolas C Southwick, CRNA Po Box 47159, Plymouth, MN 55447-0159 Ph: (763) 559-3779	Nickolas C Southwick, CRNA 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 Ph: (763) 559-3779

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Plymouth, MN

Lorna Bechtel, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3379 Fax: 763-450-3986
Jayne Eberhardt, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2855 Campus Dr, Plymouth, MN 55441 Phone: 763-577-7000
Anna Spillers, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 Fax: 763-450-3986
Peter Lawrence Sedlacek, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2855 Campus Dr, Plymouth, MN 55441 Phone: 763-577-7000 Fax: 763-577-7130
Kathryn Marie Huber, SRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 Fax: 763-450-3986
Dillon Joseph Dryja, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-852-0411

Nickolas C Southwick, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Plymouth, MN